What Does a Cavity Look Like? A Complete Guide to Identifying Tooth Decay

A cavity doesn’t always start as a visible hole in your tooth. In its earliest stage, a cavity may appear as a small white spot, and over time, it can progress into brown or black discoloration, visible pits, or painful tooth damage. Understanding what a cavity looks like helps you catch tooth decay early and protect your oral health.

Overview

What is a cavity?

A cavity (also called dental caries or tooth decay) is permanent damage to the hard surface of your tooth caused by bacteria, acids, and plaque buildup. When plaque isn’t removed, it produces acids that slowly wear down tooth enamel and create holes in the tooth.

  • Early cavities often look like chalky white spots on the enamel

  • Moderate cavities may appear brown or dark yellow

  • Advanced cavities form visible holes or craters in the tooth

Some cavities, especially those between teeth or under the gumline, may not be visible without dental X-rays.

Here at brush365, we often remind patients that not all cavities are visible or painful at first. That’s why regular dental checkups and early evaluation are important, especially if you notice changes in tooth color, sensitivity, or texture.

Contact brush365 for emergency dental care today!

What does a cavity look like?

Diagnosis and Tests

Dr. Mahmood

How are cavities diagnosed?

Dentists diagnose cavities using a combination of:

  • Visual examination to check for discoloration or pits

  • Dental instruments to detect softened enamel

  • X-rays, which help identify cavities between teeth or below the surface

Because early cavities don’t always cause pain, routine dental checkups are essential for early detection.

Management and Treatment

How are cavities treated?

Treatment depends on the size and severity of the cavity:

Early treatment prevents pain, infection, and tooth loss.

Dr. Sara Mahmood working with a digital jaw scan

Prevention

How can cavities be prevented?

You can reduce your risk of cavities by practicing good oral hygiene habits:

  • Brush twice daily with fluoride toothpaste

  • Floss once a day to remove plaque between teeth

  • Limit sugary foods and drinks

  • Drink water after meals

  • Visit your dentist regularly for cleanings and exams

Preventive care is the most effective way to avoid tooth decay altogether.

Dr. Mahmood
Dr. Mahmood

When to See a Dentist

If you notice:

  • White, brown, or black spots on your teeth

  • Sensitivity to hot, cold, or sweets

  • Tooth pain or visible holes

You should schedule a dental appointment as soon as possible. Catching cavities early can save your tooth and reduce treatment costs.

Your Smile Deserves This!

Book your visit with brush365 today to get started.